Mrs A.

is 17 years old widow with CHF and osteoarthritis who has recently been exhibiting quite
unusual behavior. her daughter is concerned about her mother's ability to remain independent and
wishes to pursue nursing home admission arrangements.

she fears the development of a

dementing illness. over the last two to three months, Mrs A has become confused, easily fatique
and very irritable. she has developed disturbing obsessive/ compulsive behavior constantly
complaining that her lace curtains were dirty and required frequent washing. questioning
revealed that she thought they were yellow-green and possibly moldy. her prescribed
medications are :

Furosemide 40 Mg daily in the morning

Dogoxin 250 Micrograms daily
Acetamenephen 500 Mg, 1-2 tablets 4-hourly PRN joint pain
Mylanta suspension, 20 ml PRN